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Schroth Scoliosis Therapy Everything You Want To Know Andrea Lebel interviewed by Dr. Derek Lee

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Dr. Derek Lee

This interview is for educational purposes and covers information provided by Andrea Lebel, PT regarding her opinions on physiotherapy specific scoliosis exercises. Her answers and commentary represent her opinion and everyone should consult their physicians and treating team. This video is not an endorsement.

See timestamps below to jump to specific topics.

Chapters:
00:00 Introduction
10:39 What should we do when a child is diagnosed with scoliosis?
12:09 Mechanics of scoliosis.
13:26 Should we increase flexibility?
15:29 Internet exercises commonly show the wrong scoliosis exercises. Beware!
17:09 Difference between regular physiotherapists and scoliosis trained physiotherapists.
18:09 How to correct position and posture?
20:59 Avoid extension exercise because it drives the curve.
21:52 Role of anterior vertebral overgrowth.
23:15 Extension exercises aggravate the scoliotic curve.
23:46 Loss of kyphosis is common in scoliosis.
25:49 Structural versus NonStructural Scoliosis.
28:53 5 degrees rotation is considered scoliosis positive.
31:00 Importance of scoliosis screening.
32:01 Risk factors for curve progression.
36:42 Early scoliosis diagnosis is important in order to establish early treatment at a low Cobb angle.
37:37 3D scoliosis braces are recommended but the skill of the orthotist is paramount.
40:57 What are Physiotherapy Scoliosis Specific Exercises?
44:11 Schroth, SEAS and BSPTS are types of PSSE.
45:28 Origin of Schroth Method.
48:34 Schroth "orthopedic breathing."
53:58 Schroth method for spinal fusion patients.
55:12 Schroth method for Pre/Post and Apifix patients.
57:35 3D Postural SelfCorrection.
1:04:45 Case Study: 1 year Schroth with RigoCheneau Brace.
1:06:16 Case Study: 1 year Schroth post spinal fusion.
1:09:07 When to refer for Schroth exercises?
1:13:08 Vicious Cycle that drives curve progression.
1:14:06 Example of Schroth Exercise with a gymnast.
1:17:39 Goals of Schroth Method.
1:19:51 Case study: Full time bracing combined with Schroth 10 years.
1:21:48 Activities of daily living postural compensation.
1:22:55 Proper sleep posture.
1:23:49 Do regular exercises do harm or good?
1:25:07 Hyperkyphosis and Flatback.
1:25:35 ReModelling lumbar lordosis.
1:27:07 Important to maintain corrected posture during all activities.
1:31:11 Importance of scoliosis exercises post VBT.
1:33:59 Should gymnastics be avoided for scoliosis patients?
1:37:14 When can post VBT patients start Schroth?
1:38:34 Role of traction as a scoliosis therapy in children and adults.

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https://drdereklee.com/

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